背景与目的云南东部农村地区宣威市、富源县女性居民主要从事农业生产和家务工作,基本不吸烟,但肺癌死亡率却是世界上最高的,而且发病、死亡年龄提前。本研究对宣威、富源非吸烟女性肺癌生存状况及其影响因素进行分析。方法以2006年-201...背景与目的云南东部农村地区宣威市、富源县女性居民主要从事农业生产和家务工作,基本不吸烟,但肺癌死亡率却是世界上最高的,而且发病、死亡年龄提前。本研究对宣威、富源非吸烟女性肺癌生存状况及其影响因素进行分析。方法以2006年-2010年被当地省、市、县9家医院新诊断、并纳入"非吸烟女性肺癌病例对照研究项目"的常住户籍女性肺癌病例为研究对象随访至2016年末。通过Life-table法进行全部病例生存分析,评估人群相对生存率和年龄别标化相对生存率。应用Kaplan-Meier法和Cox比例风险模型分别进行单因素生存分析、分层分析和多因素分析。结果随访的1,250例病例中,死亡1,075例,删失175例,随访中位时间为69个月(95%CI:61.9-76.0)。病例平均年龄(54.8±10.9)岁,I期、II期、III期、IV期和未知分期分别占3.5%、8.7%、20.7%、29.7%和37.4%;手术、非手术治疗和未治疗分别占17. 2%、39.0%和43. 8%,组织学、细胞学诊断占51.6%。中位生存时间13.2个月,5年观察生存率、相对生存率、年龄标化相对生存率分别为8.9%(95%CI:7.0-10.6)、9.4%(95%CI:7.6-11.5)和10.1%(95%CI:3.7-20.5)。I期、II期、III期、IV期、未分期5年生存率分别为41.1%、22.4%、5. 3%、1. 3%、11.2%;手术治疗、非手术治疗、未治疗分别为34.8%和3.2%、4.7%;腺癌、鳞癌分别为17.9%和5.6%。省级医院治疗、X线胸部筛查、非农民职业、城镇居住、65岁以下年龄等因素有利于提高生存率,而市县级医院治疗、农民职业、乡村居住、65岁以上年龄等则生存率较低。分层分析显示,任意原发灶-淋巴结-远处转移(tumornode-met a st a si s,T N M)分期,无论腺癌或鳞癌患者,行手术治疗的生存率明显高于非手术治疗;与未治疗病例相比非手术治疗仅在III期显示差异;腺癌生存率大于鳞癌不仅仅因为早期和手术病例较多,在III期、未分期也显示明显生存优势。不同级别展开更多
OBJECTIVE:To investigate the protective efficacy of Bunao Fuyuan decoction(BNFY)on cerebral Ischemia/reperfusion(I/R)injury.METHODS:The mouse PC12 cells were chosen,and the oxidative-glucose deprivation/re-oxygenation...OBJECTIVE:To investigate the protective efficacy of Bunao Fuyuan decoction(BNFY)on cerebral Ischemia/reperfusion(I/R)injury.METHODS:The mouse PC12 cells were chosen,and the oxidative-glucose deprivation/re-oxygenation(OGD/R)injury model were established to simulate cerebral I/R injury.Atorvastatin was selected as a positive drug,and a gradient dose of BNFY was given for 6,12 and 24 h.3-(4,5)-dimethylthiahiazo(-z-y1)-3,5-di-phenytetrazoliumromide(MTT)assay were used to detect cell viability at each time point.Cell apoptosis was measured by terminal deoxynucleotidyl transferase-mediated d UTP-botin nick end labeling(TUNEL)staining.enzyme linked immunosorbent assay was used to detect the expression of tumor necrosis factor(TNF)-α,interleukin(IL)-6,IL-1βand platelet activating factor(PAF).Western blot assay were performed to detect the expression of key regulators[toll-like receptor 4(TLR4),nuclear factor kappa-B(NF-κB),p-p38 mito-gen-activated protein kinase(MAPK)and p-Akt(also known as protein kinase B,PKB)]of cell survival and inflammatory response.RESULTS:The results of MTT assay and TUNEL staining assay revealed that BNFY significantly increased cell viability and inhibited cell apoptosis of PC12 cells following OGD/R,respectively.Furthermore,the expression of TNF-α,1 L-6,1 L-1βand PAF were decreased after BNFY treatment.And the results of Western blot assay showed that BNFY downregulated TLR4,NF-κB,p-p38 MAPK expression and upregulated p-Akt expression.CONCLUSION:Our findings suggest that BNFY may play a role in protecting OGD/R injured PC12 cells through inhibiting the inflammatory response and cell apoptosis.展开更多
文摘背景与目的云南东部农村地区宣威市、富源县女性居民主要从事农业生产和家务工作,基本不吸烟,但肺癌死亡率却是世界上最高的,而且发病、死亡年龄提前。本研究对宣威、富源非吸烟女性肺癌生存状况及其影响因素进行分析。方法以2006年-2010年被当地省、市、县9家医院新诊断、并纳入"非吸烟女性肺癌病例对照研究项目"的常住户籍女性肺癌病例为研究对象随访至2016年末。通过Life-table法进行全部病例生存分析,评估人群相对生存率和年龄别标化相对生存率。应用Kaplan-Meier法和Cox比例风险模型分别进行单因素生存分析、分层分析和多因素分析。结果随访的1,250例病例中,死亡1,075例,删失175例,随访中位时间为69个月(95%CI:61.9-76.0)。病例平均年龄(54.8±10.9)岁,I期、II期、III期、IV期和未知分期分别占3.5%、8.7%、20.7%、29.7%和37.4%;手术、非手术治疗和未治疗分别占17. 2%、39.0%和43. 8%,组织学、细胞学诊断占51.6%。中位生存时间13.2个月,5年观察生存率、相对生存率、年龄标化相对生存率分别为8.9%(95%CI:7.0-10.6)、9.4%(95%CI:7.6-11.5)和10.1%(95%CI:3.7-20.5)。I期、II期、III期、IV期、未分期5年生存率分别为41.1%、22.4%、5. 3%、1. 3%、11.2%;手术治疗、非手术治疗、未治疗分别为34.8%和3.2%、4.7%;腺癌、鳞癌分别为17.9%和5.6%。省级医院治疗、X线胸部筛查、非农民职业、城镇居住、65岁以下年龄等因素有利于提高生存率,而市县级医院治疗、农民职业、乡村居住、65岁以上年龄等则生存率较低。分层分析显示,任意原发灶-淋巴结-远处转移(tumornode-met a st a si s,T N M)分期,无论腺癌或鳞癌患者,行手术治疗的生存率明显高于非手术治疗;与未治疗病例相比非手术治疗仅在III期显示差异;腺癌生存率大于鳞癌不仅仅因为早期和手术病例较多,在III期、未分期也显示明显生存优势。不同级别
文摘OBJECTIVE:To investigate the protective efficacy of Bunao Fuyuan decoction(BNFY)on cerebral Ischemia/reperfusion(I/R)injury.METHODS:The mouse PC12 cells were chosen,and the oxidative-glucose deprivation/re-oxygenation(OGD/R)injury model were established to simulate cerebral I/R injury.Atorvastatin was selected as a positive drug,and a gradient dose of BNFY was given for 6,12 and 24 h.3-(4,5)-dimethylthiahiazo(-z-y1)-3,5-di-phenytetrazoliumromide(MTT)assay were used to detect cell viability at each time point.Cell apoptosis was measured by terminal deoxynucleotidyl transferase-mediated d UTP-botin nick end labeling(TUNEL)staining.enzyme linked immunosorbent assay was used to detect the expression of tumor necrosis factor(TNF)-α,interleukin(IL)-6,IL-1βand platelet activating factor(PAF).Western blot assay were performed to detect the expression of key regulators[toll-like receptor 4(TLR4),nuclear factor kappa-B(NF-κB),p-p38 mito-gen-activated protein kinase(MAPK)and p-Akt(also known as protein kinase B,PKB)]of cell survival and inflammatory response.RESULTS:The results of MTT assay and TUNEL staining assay revealed that BNFY significantly increased cell viability and inhibited cell apoptosis of PC12 cells following OGD/R,respectively.Furthermore,the expression of TNF-α,1 L-6,1 L-1βand PAF were decreased after BNFY treatment.And the results of Western blot assay showed that BNFY downregulated TLR4,NF-κB,p-p38 MAPK expression and upregulated p-Akt expression.CONCLUSION:Our findings suggest that BNFY may play a role in protecting OGD/R injured PC12 cells through inhibiting the inflammatory response and cell apoptosis.
